[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-111-1-產兒科護理學-063","nurse-111-1-maternal-pediatric-063",111,1,63,"陳小弟，7 個月大，因高燒、聲音出現狗吠聲而入院，經醫師診斷為哮吼（croup），有關哮吼的護理措施，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"給予充足的水分與適當的營養","給予抽痰協助分泌物排出","觀察有無呼吸窘迫現象，如心跳加快、鼻翼搧動、胸骨凹陷等","如醫師開立 Flixotide 蒸氣吸入後，應協助病童漱口以預防感染","B",null,[],"本題考點是哮吼（croup）的護理措施。依哮吼病生理，其病灶為喉、聲門下區的黏膜水腫，並非下呼吸道大量分泌物，例行抽痰不僅無助排痰，還會刺激已水腫的喉部、誘發喉痙攣加重呼吸道阻塞，選項 B「給予抽痰協助分泌物排出」錯誤，故選 B。A 正確，充足水分可維持黏膜濕潤並稀釋分泌物。C 正確，須密切觀察心跳加快、鼻翼搧動、胸骨凹陷等呼吸窘迫徵象。D 正確，吸入型類固醇（Flixotide）後協助漱口可預防口腔念珠菌感染。","哮吼典型表現為狗吠樣咳嗽、吸氣性喘鳴與聲音沙啞，源於聲門下水腫。處置以維持呼吸道通暢為主：冷濕空氣或濕化、必要時吸入型腎上腺素（racemic epinephrine）與類固醇消腫，並密切觀察阻塞徵象。抽吸為侵入性刺激，易誘發喉痙攣，故非常規措施。記憶對比：哮吼問題在「喉水腫」而非「痰多」。可延伸連結吸入型腎上腺素的反彈效應與呼吸道阻塞分級。",[24,27,29,31,33],{"term":25,"count":26},"呼吸窘迫徵象",2,{"term":28,"count":10},"哮吼croup",{"term":30,"count":10},"聲門下水腫",{"term":32,"count":10},"抽吸誘發喉痙攣",{"term":34,"count":10},"吸入型類固醇漱口",[36,40,44,49,54,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-maternal-pediatric-064","小華，診斷主動脈狹窄（Coarctation of Aorta）入院，有關其身體評估之敘述，下列何者最適當？",64,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-111-2-maternal-pediatric-080","張小弟，5 個月大，因不慎跌落床下，診斷為顱內出血，有顱內壓增高（increase intracranial pressure, IICP）現象，有關其護理措施，下列敘述何者較不適當？",80,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-112-2-maternal-pediatric-014","王女士，懷孕 41 週，觀察其待產期間的胎心率變化。下列何種現象，需要特別處理？",14,112,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-113-2-maternal-pediatric-032","有關新生兒身體評估結果，下列何者需進一步追蹤評估？",32,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-maternal-pediatric-036","有關嬰兒玫瑰疹（roseola infantum）在發疹期的敘述，下列何者正確？",36,114,3,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-106-1-maternal-pediatric-080","小玲，1 歲，診斷為單純性熱性痙攣（simple febrile convulsion），小玲的媽媽詢問護理師：「小玲未來是否會再發作？」有關護理師的回答，下列敘述何者較適當？",106,"2026-09-04",1788510735939]